MR. JONATHAN DAVID WIEBOLD L.D.O. NPI 1598881393

NPI Information

NPI: 1598881393
Provider Name: MR. JONATHAN DAVID WIEBOLD, L.D.O.
Classification: Technician/Technologist - 156FX1800X
Entity Type: Individual

Specialization: Optician

Address:
706 NW 23RD AVE
GAINESVILLE, FL
ZIP 32609
Phone: (352) 367-0077
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MR. Jonathan David Wiebold, L.D.O. is an optician technician technologist in Gainesville, FL. MR. Jonathan David Wiebold, L.D.O. NPI is 1598881393. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

706 NW 23RD AVE
GAINESVILLE, FL
ZIP 32609-524
Phone: (352) 367-0077
Fax: (352) 367-0079

The enumeration date for this NPI number is 3/22/2007 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	156FX1800X	Technician/Technologist	Optician	DO 5342	FLORIDA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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